Modifying Insurance Schedules for Lens Options

Eyefinity recommends that you modify your insurance schedules to address the eyeglass lens options updates being implemented by OptumHealth Vision (Spectera). For polycarbonate lenses, Eyefinity recommends that you also add a method to address the dependent minor coverage update. If you have questions or concerns about modifying insurance schedules, contact Eyefinity support before you make any changes.

To modify insurance schedules for lens options

1. In AcuityLogic Admin, click Company and select Company Setup.

   The Company Information window opens.

2. Click the Ins. Mapping link.

   The Insurance Mapping window opens.

3. Select or type Spectera (OptumHealth Vision) in the Carrier Name field and click Find.
4. Click the Plans link to view all plans available.
5. Select or type the name of the OptumHealth Vision (Spectera) insurance plan you want to update in the Plan Name field and click Find.
6. Click the Expand icon to display the insurance schedules for the plan.
7. Click the link for the insurance schedule you want to update in the Schedule Name column.

   The Insurance Schedule window opens.

8. Modify the insurance schedule to address the lens options updates being implemented by OptumHealth Vision (Spectera).
9. Follow the process below to add a special option method for polycarbonate lenses:
   1. Select Special Option in the Item Type drop-down list and click Add.

      The Edit Schedule Item window opens.

   2. Select Allow Polycarbonate for Minor in the Method drop-down list.
   3. Select Enter in the Receivable Type drop-down list and type the receivable amount in the Amount field.
   4. Type 19 in the Minor Age Limit field.
      For patients with a benefit to allow polycarbonate lenses up to age 24, Eyefinity recommends using the manual OptumHealth Vision (Spectera) insurance plan and calculating the benefits manually.
   5. Click Save.
10. Click Save & Return to save the insurance schedule.

Related Topics

• OptumHealth Vision (Spectera) Insurance Plan Updates
• AcuityLogic Admin